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Traditional adult rheumatology training includes four years of medical school, one year of medical internship, two years of medical inpattern and two years of rheumatism association. The American board of Internal Medicine offers a sub-specialty committee for rheumatology certification that can provide board approval to approved rheumatologists. Despite their small size, Black Widow Spiders employ a very potent venom. It has been said that their venom is a bit more powerful compared to coral snakes and cobra snakes. The venom of a female Black Widow Spider is a bit more harmful than that of the males, but the probability of death is pretty small although negative effects can be quite unpleasant. The venom from all of these spiders is a lot more powerful than the venom of many other spiders. Their venom is known as neurotoxic where there are a couple of active components inside such as Latrotoxins and Adenosine. Analgesics: These relieve pain, but have no effect on inflammation. Examples include Tylenol, Ultram, and Vicodin, Lortab, which contain Oxycontin or hydrocodone. Even though this happens to be relief to the patient, it is not a guarantee that the infection is completely eradicated.